| Durant Family Medicine Clinic | |
|
1400 Bryan Dr Ste 201 Durant OK 74701-2157 | |
| (580) 924-5500 | |
| (580) 924-1991 |
| Full Name | Durant Family Medicine Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1400 Bryan Dr Ste 201, Durant, Oklahoma |
| Authorized Official Name and Position | Barbara Thomason (ADMINISTRATOR) |
| Authorized Official Contact | 5809245500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Durant Family Medicine Clinic 1400 Bryan Dr Ste 201 Durant OK 74701-2157 Ph: (580) 924-5500 | Durant Family Medicine Clinic 1400 Bryan Dr Ste 201 Durant OK 74701-2157 Ph: (580) 924-5500 |
| NPI Number | 1275596421 |
|---|---|
| Provider Enumeration Date | 04/10/2006 |
| Last Update Date | 05/09/2023 |
| Medicare PECOS PAC ID | 4082624242 |
|---|---|
| Medicare Enrollment ID | O20060502000737 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275596421 | NPI | - | NPPES |
| 100757080W | Medicaid | OK | |
| 100748440C | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Stephen C Khoury |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255318234 PECOS PAC ID: 1254385198 Enrollment ID: I20050303000718 |
| Provider Name | David W Dillow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821090572 PECOS PAC ID: 1355238007 Enrollment ID: I20050316000117 |
| Provider Name | Terry R Gerard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790739019 PECOS PAC ID: 1850311077 Enrollment ID: I20051230000420 |
| Provider Name | Tiffany R Ferguson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619124989 PECOS PAC ID: 5991868275 Enrollment ID: I20090113000385 |
| Provider Name | Ana Carolina Oliveira Crew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437566213 PECOS PAC ID: 4284853615 Enrollment ID: I20150922000495 |
| Provider Name | Jessica Oneal Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487100558 PECOS PAC ID: 1951680933 Enrollment ID: I20161115001087 |
| Provider Name | Robin Lynn Hoile |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104278852 PECOS PAC ID: 8224318514 Enrollment ID: I20161202000181 |
| Provider Name | Amanda Neline Hale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699215780 PECOS PAC ID: 3870865793 Enrollment ID: I20170828000228 |
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Jaiswal Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 Bryan Dr, Suite 100, Durant, OK 74701 Phone: 580-924-4704 Fax: 580-924-6001 | |
Osu-aj The Heart And Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2701 W University Blvd, Durant, OK 74701 Phone: 918-561-8306 Fax: 918-280-1917 | |
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